---
type: "Bill"
title: "PHYSICAL THERAPY TELEHEALTH"
description: "Amends the Illinois Physical Therapy Act. Provides that initial physical therapy evaluations without a referral or an established diagnosis may be performed by a licensed physical therapist via telehealth when the physical therapist determines that an in-person examination is not required based on the physical therapist's clinical judgment and the applicable standard of care (rather than cannot be performed via telehealth unless necessary to address a documented hardship). Provides that a physical therapist or a licensed physical therapy assistant may require the patient to undergo an in-person visit instead of providing telehealth services (rather than the use of telehealth as a primary means of delivering physical therapy must be an exception and documentation must support the clinical justification). Provides that a physical therapist providing telehealth must have the capacity to provide or be able to facilitate a referral to in-person care within the State (rather than must only have the capacity to provide in-person care). Provides that the standard of care for a patient receiving physical therapy through telehealth is equal to the standard of care for in-person care."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "104th"
identifier: "SB 2153"
citation: "Illinois SB 2153 (104th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Angelica Guerrero-Cuellar", "Cristina Castro"]
version_count: 7
action_count: 53
vote_count: 8
first_action: "2025-02-07"
last_action: "2025-08-15"
source: "openstates"
source_identifier: "ocd-bill/72ac47d8-d556-438f-b6de-e90b8a505def"
source_url: "https://ilga.gov/Legislation/BillStatus?DocNum=2153&GAID=18&DocTypeID=SB&LegId=161833&SessionID=114"
source_hash: "130effb102d94c25d6c8e74f519b9edef071649eb0b070d6165bbd37c3755ac0"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-il"]
---

# Illinois SB 2153 (104th) — PHYSICAL THERAPY TELEHEALTH

Amends the Illinois Physical Therapy Act. Provides that initial physical therapy evaluations without a referral or an established diagnosis may be performed by a licensed physical therapist via telehealth when the physical therapist determines that an in-person examination is not required based on the physical therapist's clinical judgment and the applicable standard of care (rather than cannot be performed via telehealth unless necessary to address a documented hardship). Provides that a physical therapist or a licensed physical therapy assistant may require the patient to undergo an in-person visit instead of providing telehealth services (rather than the use of telehealth as a primary means of delivering physical therapy must be an exception and documentation must support the clinical justification). Provides that a physical therapist providing telehealth must have the capacity to provide or be able to facilitate a referral to in-person care within the State (rather than must only have the capacity to provide in-person care). Provides that the standard of care for a patient receiving physical therapy through telehealth is equal to the standard of care for in-person care.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB2153.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB2153eng.pdf)
3. **House Amendment 001** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB2153ham001.pdf)
4. **House Amendment 002** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB2153ham002.pdf)
5. **House Amendment 003** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB2153ham003.pdf)
6. **Senate Amendment 001** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB2153sam001.pdf)
7. **Enrolled** (enrolled) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB2153enr.pdf)

## Votes

- Licensed Activities, Amendment 3 — **7–0** (pass) · upper
- Health Care Licenses, Amendment 3 — **13–0** (pass) · lower
- Third Reading — **112–0** (pass) · lower
- Third Reading — **54–0** (pass) · upper
- Licensed Activities, Amendment 1 — **5–0** (pass) · upper
- Health Care Licenses — **14–0** (pass) · lower
- Licensed Activities — **7–0** (pass) · upper
- Concurrence, Amendment 3 — **56–0** (pass) · upper

## Sponsors

- Angelica Guerrero-Cuellar — primary (person)
- Cristina Castro — primary (person)
- Lakesia Collins — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2025-02-07** Filed with Secretary by Sen. Cristina Castro `filing`
- **2025-02-07** First Reading `reading-1`
- **2025-02-07** Referred to Assignments
- **2025-02-25** Assigned to Licensed Activities `referral-committee`
- **2025-03-06** Do Pass Licensed Activities; 007-000-000
- **2025-03-06** Placed on Calendar Order of 2nd Reading March 18, 2025 `reading-2`
- **2025-04-03** Second Reading `reading-2`
- **2025-04-03** Placed on Calendar Order of 3rd Reading April 4, 2025
- **2025-04-04** Senate Floor Amendment No. 1 Filed with Secretary by Sen. Cristina Castro `amendment-introduction`
- **2025-04-04** Senate Floor Amendment No. 1 Referred to Assignments
- **2025-04-08** Senate Floor Amendment No. 1 Assignments Refers to Licensed Activities
- **2025-04-09** Senate Floor Amendment No. 1 Recommend Do Adopt Licensed Activities; 005-000-000
- **2025-04-10** Recalled to Second Reading `reading-2`
- **2025-04-10** Senate Floor Amendment No. 1 Adopted; Castro `amendment-passage`
- **2025-04-10** Placed on Calendar Order of 3rd Reading
- **2025-04-10** Third Reading - Passed; 054-000-000 `passage, reading-3`
- **2025-04-10** Added as Co-Sponsor Sen. Lakesia Collins
- **2025-04-10** Arrived in House `introduction`
- **2025-04-10** Chief House Sponsor Rep. Angelica Guerrero-Cuellar
- **2025-04-11** First Reading `reading-1`
- **2025-04-11** Referred to Rules Committee
- **2025-04-17** Assigned to Health Care Licenses Committee `referral-committee`
- **2025-05-06** House Committee Amendment No. 1 Filed with Clerk by Rep. Angelica Guerrero-Cuellar `amendment-introduction`
- **2025-05-06** House Committee Amendment No. 1 Referred to Rules Committee
- **2025-05-07** Do Pass / Short Debate Health Care Licenses Committee; 014-000-000
- **2025-05-07** House Committee Amendment No. 1 Tabled `amendment-failure`
- **2025-05-07** Placed on Calendar 2nd Reading - Short Debate `reading-2`
- **2025-05-16** Second Reading - Short Debate `reading-2`
- **2025-05-16** Held on Calendar Order of Second Reading - Short Debate `reading-2`
- **2025-05-21** House Floor Amendment No. 2 Filed with Clerk by Rep. Angelica Guerrero-Cuellar `amendment-introduction`
- **2025-05-21** House Floor Amendment No. 2 Referred to Rules Committee
- **2025-05-22** House Floor Amendment No. 3 Filed with Clerk by Rep. Angelica Guerrero-Cuellar `amendment-introduction`
- **2025-05-22** House Floor Amendment No. 3 Referred to Rules Committee
- **2025-05-23** House Floor Amendment No. 3 Rules Refers to Health Care Licenses Committee
- **2025-05-23** Third Reading/Final Action Deadline Extended-9(b) May 31, 2025
- **2025-05-28** House Floor Amendment No. 3 Recommends Be Adopted Health Care Licenses Committee; 013-000-000 `committee-passage-favorable`
- **2025-05-29** House Floor Amendment No. 3 Adopted `amendment-passage`
- **2025-05-29** Placed on Calendar Order of 3rd Reading - Short Debate
- **2025-05-29** Third Reading - Short Debate - Passed 112-000-000 `passage, reading-3`
- **2025-05-29** House Floor Amendment No. 2 Tabled `amendment-failure`
- **2025-05-29** Secretary's Desk - Concurrence House Amendment(s) 3
- **2025-05-29** Placed on Calendar Order of Concurrence House Amendment(s) 3 - May 29, 2025
- **2025-05-30** House Floor Amendment No. 3 Motion to Concur Filed with Secretary Sen. Cristina Castro `filing`
- **2025-05-30** House Floor Amendment No. 3 Motion to Concur Referred to Assignments
- **2025-05-30** House Floor Amendment No. 3 Motion to Concur Assignments Referred to Licensed Activities
- **2025-05-30** House Floor Amendment No. 3 Motion To Concur Recommended Do Adopt Licensed Activities; 007-000-000
- **2025-05-31** House Floor Amendment No. 3 Senate Concurs 056-000-000
- **2025-05-31** Senate Concurs
- **2025-05-31** Passed Both Houses
- **2025-06-27** Sent to the Governor `executive-receipt`
- **2025-08-15** Governor Approved `executive-signature`
- **2025-08-15** Effective Date August 15, 2025
- **2025-08-15** Public Act . . . . . . . . . 104-0411 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/72ac47d8-d556-438f-b6de-e90b8a505def`. Confidence: reported (aggregated from official Illinois legislature records).